Individual
ALYSSA EISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CADC II
Contact information
Practice address
5060 SHOREHAM PL STE 330, SAN DIEGO, CA 92122-5976
(877) 840-6956
(619) 383-6701
Mailing address
PO BOX 601422, SAN DIEGO, CA 92160-1422
(877) 840-6956
(619) 383-6701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
A021121015
CA
1041C0700X
Clinical Social Worker
Primary
77507
CA
Other
Enumeration date
05/25/2019
Last updated
01/03/2024
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